By vgreene, 23 September, 2016 Stop smoking, limit EtOH to ≤2 drinks/day, per NOF6 and AACE,26 limit caffeine per AACE27
By vgreene, 23 September, 2016 Regular wt-bearing/muscle strengthening exercise, per NOF,25 ACOG,7 and AACE26
By vgreene, 23 September, 2016 Adequate Ca++ (1,200 mg/day for ≥51 yo) + vit D (800–1,000 IU/day for ≥50 yo); supplement if needed, per NOF,6 ACOG,7 and AACE23
By vgreene, 23 September, 2016 Assess/address low bone density/fx risk factors1-3 in all pts, ✓BMD +/- vertebral imaging
By vgreene, 23 September, 2016 If specific risk factors (low trauma fx, long-term glucocorticoid tx,18 ht loss19), also ✓vertebral imaging per NOF20 and ISCD21 and AACE22
By vgreene, 23 September, 2016 Use FRAX® tool to estimate osteoporosis-assoc fx risk, per NOF16 and ACOG17
By vgreene, 23 September, 2016 ✓BMD w/ DXA @ hip + spine recommended by all guidelines;6,11-14 use DXA @ forearm in selected pts per ISCD15
